Provider Demographics
NPI:1366527293
Name:DURAN, ALBERTO D (MD)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:D
Last Name:DURAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-0011
Mailing Address - Country:US
Mailing Address - Phone:956-782-7878
Mailing Address - Fax:956-782-7877
Practice Address - Street 1:1211 N RAUL LONGORIA
Practice Address - Street 2:STE C
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589
Practice Address - Country:US
Practice Address - Phone:956-782-7878
Practice Address - Fax:956-782-7877
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7147207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0081JLOtherBLUE CROSS & BLUE SHIELD
TX030155805Medicaid
TX135976100OtherVALLEY HEALTH PLANS
TX114603OtherSUPERIOR HEALTH PLANS
TX135976100OtherVALLEY HEALTH PLANS
TX114603OtherSUPERIOR HEALTH PLANS